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All Journal Nurse Media Journal of Nursing Jurnal Kesehatan Jurnal Keperawatan Padjadjaran Jurnal Perawat Indonesia Jurnal Kesehatan Jurnal Kesehatan Journal of Community Empowerment for Health Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)

Anggi Lukman Wicaksana

Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia

Author-ID : 1103999

Humanities Education Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Sekolah Kader Protector Jaten: Upaya peningkatan pengetahuan dan keterampilan kader remaja posbindu PTM di Dusun Jaten, Yogyakarta Ifa Najiyati; Beauty Octavia Mahardany; Yana Yulyana; Supriyati Supriyati; Anggi Lukman Wicaksana
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Data from the Community and Family Health Care (CFHC) Faculty of Medicine, Public Health,and Nursing Universitas Gadjah Mada (UGM) in 2018 indicated that 32.6% of families in Jaten had hypertension. The results of community analysis indicated that non-communicable diseases (NCDs) were a major problem in Jaten. One of the measures to control NCDs is through integrated development and coaching post (called by posbindu PTM). The target age of posbindu PTM started from adolescence which is 15 years old. Adolescents are vulnerable group. Biological and psychological changes in adolescence have consequences that can affect their health for a lifetime. Posbindu PTM in Jaten was established in March 2018. However, the participation of adolescents was low. Early Detection and Disease Prevention by Jaten’s Adolescent Program (Protector Jaten) is designed to provide access and health services for adolescents. This program began with recruiting adolescents to be cadres and continued with cadre school. Adolescent cadres were equipped with knowledge and skills to do their duties in posbindu PTM. This study aimed to assess and explore School for Adolescent Cadres Protector Jaten to increase knowledge and skills of adolescent cadres about implementation of posbindu PTM. The design of this study was a pre-experimentalwith one group pre-test post-test design and mixed methods using the Kirkpatrick model level 1 and 2. The quantitative method was carried out using a questionnaire to 11 adolescent cadres. The qualitative method used observation to measure skills and semi-structural interviews on 5 adolescent cadres about the effect of School for Adolescent Cadres Protector Jaten. Total of 63,6% adolescent cadres were females with range of ages between 22 and 24 years old. The mean score of adolescent cadres’ knowledge was 6,5 and 8,6 for pre and post School for Adolescent Cadres Protector Jaten. There was a significant effectof School for Adolescent Cadres Protector Jaten on adolescent cadres’s knowledge (p = 0,003). There was increasing skills of adolescent cadres about the implementation of posbindu PTM. The result of interview showed that School for Adolescent Cadres Protector Jaten improved the knowledge, skill, and awareness in preventing NCDs. School for Adolescent Cadres Protector Jaten increased knowledge and skills about the implementation of posbindu PTM. Adolescent cadres still require assistance in implementing posbindu PTM as well as a refreshing program to maintain the implementation of posbindu PTM.

Current prevalence, characteristics, and comorbidities of patients with COVID-19 in Indonesia Dionita Rani Karyono; Anggi Lukman Wicaksana
Journal of Community Empowerment for Health Vol 3, No 2 (2020): Special Issue of COVID-19
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.57325

Indonesia is currently fighting against a novel coronavirus disease, known as COVID-19. Current information of COVID-19 is crucial for healthcare providers. This study aimed to explore the current prevalence, characteristics, and comorbidities of patients with COVID-19 in Indonesia. We obtained data of the confirmed cases of COVID-19, characteristics and comorbidities from the official website of Indonesia COVID-19 Task Force. The data were extracted, explored and discussed to respond to the research aims. Up to June 3rd, 2020, it was reported there were 28,233 confirmed cases of COVID-19 in Indonesia. The current prevalence of COVID-19 case was 0.11‰ and transmission was distributed to all provinces in Indonesia. Almost one-third of the COVID-19 infections were in the age group of 31-45 years (29.3%) but the highest mortality rate occurred in elderly people (17.68%). Overall, males slightly dominated and contributed only 6.84% to the mortality rate. Cough (76.2%), history of fever (50.4%), and current fever (47.1%) were the most common symptoms among the patients with COVID-19. For comorbidities, patients with COVID-19 had higher numbers of hypertension (52.1%), diabetes (33.6%), and other cardiovascular diseases (20.9%). Those three comorbidities led the greater proportion of deaths among other comorbidities. The COVID-19 pandemic is still a new challenge for Indonesia.

Why do we need to empower university staffs and students for tackling the non-communicable diseases? Supriyati Supriyati; Anggi Lukman Wicaksana; Esthy Sundari; Heny Suseani Pangastuti; Fatwa Sari Tetra Dewi
Journal of Community Empowerment for Health Vol 4, No 2 (2021)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.61619

Non-communicable diseases (NCDs) are a major cause of death in Indonesia and worldwide. Yogyakarta has the highest prevalence of cancer in Indonesia. Besides, Yogyakarta has high prevalence of diabetes mellitus and other NCDs. The prevention and control of NCDs are direly needed in Yogyakarta. Universitas Gadjah Mada (UGM) is the oldest university in Yogyakarta and has a large number of university staff members and students. This study aimed to empower university staff and students of UGM in the health promotion programs for tackling NCD risk factors through the Health Promoting University initiative. This was a participatory action research that was conducted in UGM, Yogyakarta. A total of 299 respondents (university staff and students in second year) were involved in the need’s assessment survey. Data were collected through online questionnaire and analyzed descriptively. Additionally, advocacy, training, small group discussion, seminars, discussion on WhatsApp group, as well as developing posters for healthy diet, hand washing, physical activities, and smoking behavior were done as the follow-up of the need’s assessment. The need’s assessment showed that most respondents had a poor knowledge on the NCDs and its risk factors (74%), poor knowledge on the smoke free campus (80%), had insufficient vegetables consumption (83%), had insufficient fruit consumption (68%), and had physically inactive behavior (52%). Furthermore, group discussions with the students improved their awareness on the NCD problems among students. Also, training for the university staff members improved their knowledge and skills related to the NCD risk factors’ measurement. The university staff and students’ knowledge and practice concerning the NCD risk factors prevention were poor. Therefore, the Health Promoting University initiative is a good way to empower them about the NCD risk factors prevention.

Development of the elderly health monitoring system through families and community health workers during the COVID-19 pandemic Anggi Lukman Wicaksana; Firdaus Hafidz; Putri T Rosha; Annisa Ryan Susilaningrum; Anisah Ramadhani
Journal of Community Empowerment for Health Vol 5, No 1 (2022)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.61899

Elderly people have a high risk of severe and fatal COVID-19 condition. Controlling the risk factors among the elderly is important, but health service provision during outbreaks is challenging. The elderly need increased attention to be monitored for their health status routinely. The elderly must also adjust daily activities according to the COVID-19 protocols. This program aimed to provide a practical example of a feasible system to empower community health workers and families for monitoring health among the elderly. This study used quantitative and qualitative data to identify the problems and needs of elderly health monitoring in Caturtunggal, Sleman, Indonesia. Descriptive quantitative methods used secondary data from the Sleman Health and Demographic Surveillance System and elderly health checklists to identify the issues of non-communicable diseases (NCDs) before and during COVID-19. The community health workers were interviewed to explore the needs and feasibility of programs among the elderly. As much as 16% of Caturtunggal population is elderly. One-third are 60-65 years old (33.30%) and retired (30.60%). The most common NCDs were hypertension (25.60%), diabetes mellitus (13.30%), stroke and coronary heart disease (4.40% for each). Almost all elderly (88.89%) have health insurance. Health counselling, online consultation, and monitoring were agreed on after discussion with the community health workers. Serial consultations (COVID-19 protocol for elderly, regular self-monitoring, the national health insurance mobile application, and health services during the pandemic situation) were conducted through WhatsApp groups. Free counseling was provided throughout the program for the elderly care during the outbreak. The monitoring was achieved through the WhatsApp groups by delivering instructional photos or videos of physical activity, blood pressure measurements, dietary record and stress management. The elderly and families felt more confident to check their health status and reported the results. In conclusion, development of health monitoring system was conducted through health checklists. Family and community cadres were also involved to make the program more feasible and sustainable.

Gangguan Tidur Pada Pasien Kanker Payudara: Analisis Konsep dengan Pendekatan Walker dan Avant Nur Aini; Fitria Endah Janitra; Anggi Lukman Wicaksana; Dang Thi Thuy My; Nguyen Van Trung
Jurnal Keperawatan Padjadjaran Vol. 10 No. 3 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i3.2056

Background: Sleep disorders are a long-term issue for breast cancer survivors (BCS). Sleep disorders are among the top five most bothersome lasting difficulties in BCS, and they have a greater risk of sleep disorders than healthy persons and other cancer patients. Failure to understand sleep disorders in breast cancer patients causes nurses to be unable to give interventions appropriately.Purpose: To clarify the definition of sleep disorders in breast cancer survivors.Method: We comprehensively searched electronic databases from CINAHL, PubMed, and Ovid-MEDLINE. We used the eight steps from Walker and Avant to conduct a concept analysis. This approach was chosen because it gives a philosophical understanding of the concept using linguistic philosophy techniques. Model case and other cases were provided to give a conceptual definition of sleep disorders.Results: Finally, 62 studies were included. We found five antecedents of sleep disorder in breast cancer patients: psychological and emotional stress, physical symptoms, cancer treatment, lack of social support, and sociodemographic factors. This study found four common attributes of sleep disorders 1). abnormal sleep pattern, 2). troubling complaint, 3). persistent complaint, and 4). sleep difficulty. Finally, we found a reduction in quality of life as consequence of sleep disorder in breast cancer patients.Conclusion: Sleep disorders in breast cancer need attention and must be integrated into regular palliative care practices.

Efektifitas Intervensi Aktifitas Fisik Jalan dan Aerobik terhadap Pencegahan Komplikasi pada Pasien Penyakit Jantung Koroner Pasca Percutaneous Coronary Intervention: Review Studi Intervensi: Intervensi aktifitas fisik jalan dan aerobik Putri, Agustri Lestari; Kurniawan, Catur; Wicaksana, Anggi Lukman
Jurnal Perawat Indonesia Vol. 6 No. 2 (2022): August 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Latar Belakang: Tatalaksana Percutaneous Coronary Intervention (PCI) dilakukan untuk mengurangi penyempitan atau penyumbatan akibat plak pada Penyakit Jantung Koroner (PJK). Aktifitas fisik berjalan dan aerobik dapat mencegahan komplikasi setelah tindakan PCI namun belum ada ringkasan terkait hal tersebut. Tujuan: Studi ini dimaksudkan untuk mencari bukti terkait pengaruh intervensi aktifitas fisik jalan dan aerobik dalam mencegah komplikasi pada pasien PJK paska PCI. Metode: Metode yang digunakan adalah pencarian literatur dengan sistematis pada publikasi artikel 10 tahun terakhir dari database: PubMed, Science Direct, dan Ebsco. Kata kunci yang digunakan adalah “Coronary heart disease patient after Percutaneous coronary intervention” OR “Coronary artery disease patient after Percutaneous coronary intervention” AND “walking” AND “aerobic” AND “prevent complications”. Peneliti hanya memilih artikel original dan hasil review dengan kriteria inklusi: teks artikel utuh dalam Bahasa Inggris, dan menjawab tujuan penelitian. Sementara studi tanpa PCI dan bukan penelitian intervensi akan dikeluarkan dalam review. Pencarian literatur mengikuti panduan PRISMA. Hasil: Terdapat 3 artikel dari hasil pencarian yang memenuhi kriteria. Hasil menunjukkan bahwa aktivitas fisik berjalan dan aerobik dapat menurunan jumlah depresi segmen ST (ΣST) (p<0.05), frekuensi angina (p<0.05), meningkatkan sirkulasi darah di miokardium sehingga mencegah pebentukan aterosklerosis, dan VO2MAX lebih tinggi signifikan (p<0.05). Kesimpulan: Studi ini menunjukkan bahwa aktivitas fisik aerobik dan berjalan dapat mecegah komplikasi pada pasien PJK paska PCI.

Resilience-related Breast Cancer: A Concept Analysis Fitria Endah Janitra; Nur Aini; Anggi Lukman Wicaksana
Nurse Media Journal of Nursing Vol 13, No 1 (2023): (April 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i1.45996

Background: Breast cancer-related adversity can result in severe psychological issues. However, some patients were able to demonstrate resilience, while others were not. Therefore, the concept of resilience in breast cancer patients requires further clarification.Purpose: This study aimed to systematically analyze resilience in patients with breast cancer, its attributes, antecedents, consequences, and empirical referents.Methods: This concept analysis used the Walker and Avant method. CINAHL, Embase, Scopus, Web of Science, PubMed, Cochrane, and Medline-OVID databases were explored using the keywords ‘resilience*’ and ‘breast cancer’. Papers discussing resilience among breast cancer patients were used as criteria for inclusion. The analysis focused on the redefinition of resilience-related breast cancer by identifying attributes, antecedents, and consequences.Results: A total of 53 studies were analyzed to construct resilience among breast cancer patients. The analysis identified that resilience in breast cancer patients has three defining attributes: coping, optimism, and social support. The antecedents were body image after mastectomy, symptom distress, cancer-related stigma, and fear of cancer recurrence, while the consequences included recorded as the quality of life and post-traumatic growth.Conclusion: Critical characteristics of resilience in breast cancer patients were coping, optimism, and social support. Thus, improving those characteristics might improve the quality of life and post-traumatic growth.

Literature Review: Model PRECEDE dapat Meningkatkan Kualitas Hidup Pasien dengan Coronary Artery Bypass Grafting (CABG) Rahmawati, Lutfiasih; Anika, Lusi; Wicaksana, Anggi Lukman
Jurnal Kesehatan Vol 12 No 3 (2021): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v12i3.2426

One type of cardiovascular disease that often occurs is coronary heart disease. Although the coronary artery bypass grafting (CABG) procedure can help overcome coronary heart disease problems, the post-CABG recovery stage can also lead to an increase in angina symptoms (chest pain), decreased ability to exercise, and mostly in the Quality of dimension life. The purpose of this literature review is to determine the effectiveness of the PRECEDE educational model in reducing depression and improving quality of life in patients with coronary heart disease who have CABG. This idea seems reasonable was carried out by searching through databases in PubMed and ScienceDirect until May 13, 2020, for nursing studies in chronic heart disease patients with CABG. Two articles were found that were suitable for a literature review. Findings from the literature suggest that designing educational interventions according to the PRECEDE model significantly improves all aspects of a patient's quality of life. Providing educational programs with the PRECEDE model can reduce depression in patients with CABG. This PRECEDE educational model can reduce depression and increase QoL in patients with Coronary heart disease who have undergone CABG.

PENGARUH PENGELOLAAN PENGOBATAN TERHADAP KEPATUHAN MINUM OBAT PADA PASIEN HEMODIALISIS DENGAN HIPERTENSI: STUDI KASUS Serafina, Regina Nathalia; Wahyuni, Tatik Dwi; Wicaksana, Anggi Lukman
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 1 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i1.299

ABSTRAKHipertensi menjadi kondisi penyulit terbanyak pada pasien yang menjalani hemodialisis. Namun, sering dijumpai ketidakpatuhan dalam pengobatan. Tujuan penelitian: Menggambarkan upaya pengelolaan pengobatan berdasarkan evidence-based practice dengan cara menguji coba intervensi pengelolaan pengobatan terhadap tingkat kepatuhan minum obat pasien hemodialis. Keluhan utama pasien: Penelitian ini menggunakan pendekatan studi kasus. Tn. S, 25 tahun, rutin menjalani hemodialisis dua kali/minggu, sering mengalami sakit kepala, penglihatan kabur, serta diketahui tidak menjalani pengobatan sesuai anjuran. Pasien terdiagnosis gagal ginjal kronis (GGK) stadium V e.c hipertensi sejak tahun 2017. Sejak saat itu pasien rutin melakukan hemodialisis dua kali seminggu di unit Hemodialisis RSUP Dr. Sardjito, Yogyakarta. Secara umum, terdapat penurunan fungsi ginjal dan penurunan indikator hematologi. Hasil: Data rekaman medis Tn. S dicatat dalam lembar pencatatan, termasuk penggunaan Morisky medication adherence scale (MMAS-8) untuk kepatuhan pengobatan. Pengukuran tekanan darah dan indikator hemodialisis dilakukan pemantauan secara berkala. Upaya pengelolaan obat dilakukan dengan mengatur obat sesuai jadwal, memantau konsumsi obat harian, serta mengirimkan SMS pengingat dan motivasi kepada pasien untuk meminum obat tepat waktu selama dua minggu. Setelah dilakukan intervensi, terjadi peningkatan skor MMAS-8 (pre = 4,5, post = 5,75). Rerata tekanan darah selama dilakukan intervensi menjadi terkontrol, terutama prehemodialisis (M = 148/91 mmHg). Upaya pengelolaan pengobatan yang dilakukan menunjukkan hasil yang baik sejalan dengan temuan evidence based practice. Pasien juga merasa puas dan berkenan melakukannya secara mandiri. Kesimpulan: Terdapat peningkatan tingkat kepatuhan minum obat pasien dan terkendalinya tekanan darah pasien. Intervensi yang dilakukan dapat digunakan sebagai acuan perawat dalam mengelola pasien hemodialisis dengan masalah ketidakpatuhan minum obat.Kata Kunci: kepatuhan minum obat, hipertensi, hemodialisis, pengobatan, polifarmasi Effect of Medication Management on Medication Adherence in Hemodialysis Patients with Hypertension: A Case Study ABSTRACTHypertension is the most common complicating condition in patients undergoing hemodialysis. However, medication non-adherence is often found. Objective: To describe medication management efforts based on evidence-based practice by testing medication interventions on the level of medication adherence in hemodialysis patients. Main complaints of the patient: This research employed a case study approach. Mr. S, 25 years old, underwent hemodialysis twice a week, had frequent headaches and blurred vision, and was known not to have received medication as recommended. The patient was diagnosed with stage 5 chronic kidney disease (CKD) e.c hypertension in 2017. Since then, the patient had routinely undergone hemodialysis twice a week at the Hemodialysis unit of Dr. Sardjito Hospital, Yogyakarta. In general, there was a decrease in renal function and a decrease in hematological indicators. Results: Medical record data of Mr. S was recorded in the logs, including the Morisky medication adherence scale (MMAS-8) for medication adherence. Blood pressure and hemodialysis indicators were monitored periodically. Medication was managed by scheduling medicine, combining daily medicine, and sending reminders and motivational SMS to the patient to take medicine on time for two weeks. After the intervention, there was an increase in the MMAS-8 score (pre = 4.5, post = 5.75). The mean blood pressure during the intervention was controlled, especially during prehemodialysis (M = 148/91 mmHg). The medication management indicated good results in line with evidence-based practice findings. Patients also felt satisfied and happy to do it independently. Conclusion: There is an increase in the patient's medication adherence level, and the patient's blood pressure is well controlled. The interventions can be used as a reference for nurses in managing hemodialysis patients with the problem of medication non-adherence.Keywords: medication adherence, hypertension, hemodialysis, medication, polypharmacy

Tingkat Risiko Kejadian Kardiovaskular pada Penyandang Diabetes Melitus Tipe 2 Aini, Fiska Nur; Wicaksana, Anggi Lukman; Pangastuti, Heny Suseani
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 4, No 3 (2019)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

ABSTRAKIndividu dengan diabetes melitus tipe 2 memiliki risiko dua hingga tiga kali lipat terjadinya risiko kejadian kardiovaskular, yaitu serangan jantung atau stroke. Organisasi kesehatan dunia dan masyarakat international hipertensi mengembangkan alat untuk memprediksi tingkat risiko kejadian kardiovaskular dalam kurun waktu sepuluh tahun yang akan datang. Tujuan: Penelitian bertujuan untuk mengetahui tingkatan risiko kardiovaskular pada penyandang diabetes tipe 2 dalam sepuluh tahun mendatang di Yogyakarta. Metode: Penelitian cross-sectional dilakukan di Puskesmas Depok, Yogyakarta dengan menggunakan teknik proportional sampling pada tiga Puskesmas Depok. Responden penelitian yaitu pasien terdiagnosis diabetes tipe 2, berusia 40-79 tahun, dan tidak memiliki komplikasi atau penyakit lain. Instrumen yang digunakan yaitu WHO/ISH risk prediction charts wilayah Indonesia (SEAR B) untuk menilai tingkatan risiko kejadian kardiovaskular. Data diklasifikasikan berdasarkan tingkat risiko kejadian kardiovaskuler yang dimiliki. Data dianalisis secara univariat. Hasil: Sejumlah 66 responden terlibat dengan mayoritas responden adalah perempuan, tidak bekerja, menikah dan rerata usia 61,02 ± 8,86. Tingkat risiko kejadian kardiovaskular penyandang diabetes tipe 2 di Puskesmas Depok, Yogyakarta dalam kurun waktu sepuluh tahun mendatang yaitu risiko rendah 56,1%; risiko sedang 30,3%; risiko tinggi 9,1%; dan risiko sangat tinggi 4,5%. Lebih dari separuh responden memiliki risiko rendah (<10%) terkena serangan jantung atau stroke dalam waktu sepuluh tahun mendatang. Selain itu, satu dari tiga responden memiliki risiko sedang (10-20%) terjadi serangan jantung atau stroke. Kesimpulan: Separuh dari responden penyandang diabetes memiliki risiko non-fatal kejadian kardiovaskular.Kata Kunci: diabetes tipe 2, penyakit kardiovaskular, insidenRisk Level of Cardiovascular Event Among Type 2 Diabetes Mellitus ABSTRACTIndividuals with type 2 diabetes have two to three times risk of cardiovascular event, as heart and stroke attack. World Health Organization and International Society of Hypertension had developed a prediction method of the risk level of cardiovascular event for the following ten years. Objective: This study aimed to identify the risk level of cardiovascular event over the next ten years on people with type 2 diabetes in Yogyakarta. Method: The study used a cross-sectional design in three Public Health Centers Depok, Yogyakarta using proportional sampling technique. The respondents were patients diagnosed with type 2 diabetes, age of 40-79 years, and no comorbidity. The WHO/ISH risk prediction charts for diabetes population in Indonesian (SEAR B) was used to assess the risk level of cardiovascular event. Data was analyzed with univariae analysis. Results: A total of 66 respondents were recruited after reviewing eligibility criteria. The majority of the respondents were women, unemployed, married, and the average age was 61.02 ± 8.86. The risk levels of cardiovascular event among participants in the next ten years were gradually low risk (56.1%); moderate risk (30.3%); high risk (9.1%); and very high risk (4.5%). More than a half of participants had low risk or less than 10% for being cardiovascular event in the following ten years. Furthermore, one third of participants had moderate risk or 10-20% developing cardiac arrest or stroke attack. Conclusion: A half of diabetes participants had non-fatal risk of cardiovascular event.Keywords: type 2 diabetes, cardiovascular disease, incidence

Co-Authors A, Sa'bani Nur Aini, Fiska Nur Akhmad Budi Sunaryo, Eri Yanuar Anika, Lusi Anisah Ramadhani Annisa Ryan Susilaningrum Aziz Ar Rafiq Beauty Octavia Mahardany Dang Thi Thuy My Dionita Rani Karyono Eri Yanuar Akhmad Budi Sunaryo Eri Yanuar Akhmad Budi Sunaryo Eri Yanuar Akhmad Budi Sunaryo Esthy Sundari Fatwa Sari Tetra Dewi Firdaus Hafidz As Shidieq Heny Suseani Pangastuti Heny Suseani Pangastuti Idu, Cicirosnita J. Ifa Najiyati Janitra, Fitria Endah Jumayanti Jumayanti Jumayanti, Jumayanti Khairati Siregar Khusna, Rohmah Puriana Kurniawan, Catur Lailya Khusna Latifah Nurul Aziza Meri Afridayani Muhammad G A Putra Muhammad GA Putra Nguyen Van Trung Noviyantini, Ni Putu Ayu Nur Aini Nur Aini Putra, Muhammad G A Putri T Rosha Putri, Agustri Lestari Rahmawati, Lutfiasih Ratna Wirawati Rosyida Ratna Wirawati Rosyida Rosyida, Ratna Wirawati Ruly Anita Sari Ruly Anita Sari Sa'bani Nur A Sari, Ruly Anita Sa’bani Nur A Serafina, Regina Nathalia Supriyati Sutono Sutono Tamaela, Josepha Mariana Vania Elysia Septiani Wahyuni, Tatik Dwi Yana Yulyana

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